Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730465311 Individual Practitioner Male Practitioner

Jonathan Peter Mcculloch , LLMSW

Social Worker - Clinical • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Jonathan Mcculloch, LLMSW is a registered healthcare professional specializing in Social Worker - Clinical in Port Huron, MI. Practice services are available at COLONIAL WOODS CHRISTIAN COUNSELING CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Colonial Woods Christian Counseling Center
1101 Military Street

Port Huron, MI 480605418

Telephone 8109845575
Fax 8109846433
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.2 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
197 Specialists

Practicing in Port Huron, MI (18166 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MI 6851115199

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Linda Mang , LPC

Counselor - Professional

NPI 1154584944

Licensed Professional Counselor

Barbara Stocker , MA, LPC

Counselor - Professional

NPI 1265565501

Master of Arts, Licensed Professional Counselor

Lynda Ross , LPC

Counselor - Professional

NPI 1275070377

Licensed Professional Counselor

Jack Woodburn , LPC

Counselor - Professional

NPI 1306009196

Licensed Professional Counselor

Jonathan Howard , LMSW

Social Worker - Clinical

NPI 1467616789

Licensed Master Social Worker

Laura Godwin , LLPC

Counselor - Professional

NPI 1467878868

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 20, 2023

Registered at COLONIAL WOODS CHRISTIAN COUNSELING CENTER, 1101 MILITARY STREET, PORT HURON, MI 480605418 (Tel: 8109845575)

📍
Updated Business Mailing Address September 20, 2023

Registered at COLONIAL WOODS CHRISTIAN COUNSELING CENTER, 1101 MILITARY STREET, PORT HURON, MI 480605418 (Tel: 8109845575)

👤
Provider Name / Credentials Updated September 20, 2023

Recorded as JONATHAN MCCULLOCH, LLMSW

NPI Profile Active October 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2011

Registered at 1600 GRATIOT BLVD, MARYSVILLE, MI 480401145 (Tel: 8103881200)

📍
Updated Business Mailing Address October 27, 2011

Registered at 235 S 10TH ST, SAINT CLAIR, MI 480794903 (Tel: 8103881200)

👤
Provider Name / Credentials Updated October 27, 2011

Recorded as JONATHAN MCCULLOCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Technician

🟢
Initial NPI Registration & Enumeration October 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730465311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2011
Last Update: September 20, 2023
Sole Proprietor: No

Mailing Address

Colonial Woods Christian Counseling Center, 1101 Military Street

Port Huron, MI 480605418

Phone: 8109845575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.